Questions and Answers
Levodopa is used as treatment for Parkinson's disease primarily acting as a replacement neurotransmitter.
True
A patient receiving a dopaminergic agent complains of nausea, vomiting, and dysphagia. Which nursing diagnosis would be most appropriate for this patient?
A patient has been prescribed an anticholinergic agent for treatment of Parkinson-related symptoms. What patient education should be provided?
Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies?
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A client is describing the following symptoms to a nurse. 'I just can't keep my legs still. They always need to be moving and it is keeping me up at night.' What term is used for these symptoms?
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A nurse is caring for a patient diagnosed with Parkinson disease. Which is the correct response by the nurse regarding carbidopa-levodopa?
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Based on the symptoms described, what do you suspect the patient is suffering from?
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Which of the following drugs is classified as a dopaminergic agent that treats Parkinsonism?
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The symptoms of parkinsonism are caused by the depletion of dopamine in which of the following?
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What chronic illness would be a contraindication to the use of carbidopa-levodopa?
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The nurse should emphasize the need for the patient and her husband to monitor for any sudden increase in what as a possible adverse effect of carbidopa-levodopa?
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Study Notes
Levodopa and Dopaminergic Agents
- Levodopa acts as a replacement neurotransmitter in Parkinson's disease treatment.
- Dopaminergic agents can cause side effects like nausea, vomiting, and dysphagia, leading to a nursing diagnosis of imbalanced nutrition.
Anticholinergic Agents
- Anticholinergic agents are prescribed for Parkinson's symptoms; patients should void before taking the medication for optimal effect.
Chronic Nature of Parkinson's Disease
- Drug therapy for movement disorders enhances quality of life but does not provide a cure.
Restless Leg Syndrome
- Symptoms like an uncontrollable urge to move the legs, especially at night, are indicative of restless leg syndrome.
Carbidopa-Levodopa Explanation
- Carbidopa-levodopa increases dopamine activity in the body, reducing Parkinson's symptoms.
Parkinson’s Disease Diagnosis
- Tremors, particularly a pill-rolling motion, combined with a history of head injuries, suggest Parkinson's disease.
Dopaminergic Agents
- Carbidopa (Lodosyn) is identified as a dopaminergic agent that supplements dopamine in the brain.
Dopamine Depletion
- Symptoms of parkinsonism arise from dopamine depletion in the central nervous system.
Contraindications for Carbidopa-Levodopa
- Undiagnosed skin lesions are a contraindication for carbidopa-levodopa use due to potential complications.
Monitoring Adverse Effects
- Patients and caregivers should monitor for sudden increases in involuntary movements when using carbidopa-levodopa.
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Test your knowledge on antiparkinson drugs with these flashcards. Each card provides crucial information about treatments, side effects, and nursing diagnoses related to Parkinson's disease. Perfect for students and healthcare professionals looking to reinforce their understanding.